Kendall, Mark Alan

Kendall, Mark Alan is an individual health care provider with primary practice located at 1502 Se 28Th St Suite 4, Bentonville AR 72712-3988. He recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic Surgery, which is considered as his primary health care specialty. Kendall, Mark Alan can be contacted via phone (479) 464-9191.

Contact Information

Primary practice address
1502 Se 28Th St Suite 4 Bentonville AR 72712-3988
Phone: (479) 464-9191
Fax: (479) 464-8840
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Plastic Surgery 208200000X E3659 Arkansas

Profile Details

NPI number 1982778155
LBN Legal business name Kendall, Mark Alan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 20th, 2006
Last updated Jul 20th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1982778155 NPPES
Arkansas Other 5M701 ARKANSAS BCBS

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